[Skip to Content]
[Skip to Content Landing]
Article
February 1964

Atraumatic Distal Control in Arterial Anastomosis

Author Affiliations

SAN FRANCISCO
Chief of Surgery, Veterans Administration Hospital, San Francisco, and Assistant Clinical Professor, Surgery, University of California School of Medicine (Dr. Blaisdell); Assistant Chief of Surgery, Veterans Administration Hospital, San Francisco, and Clinical Instructor, Surgery, University of California School of Medicine (Dr. Hall).; From the Surgical Service, Veterans Administration Hospital, San Francisco, and University of California School of Medicine.

Arch Surg. 1964;88(2):185-186. doi:10.1001/archsurg.1964.01310200023005
Abstract

Generally it is necessary to occlude vessels both proximally and distally when arterial reconstruction, endarterectomy, or bypass is being done. In a significant number of instances the application of an occluding clamp to a diseased artery, such as the popliteal or internal carotid, has precipitated a series of technical difficulties culminating in the loss of the repair. This is due to the crushing of an atheromatous plaque by the occluding clamp and subsequent compromise of the lumen of the vessel, either directly by elevation of the plaque or by dissection of blood under the loosened atheroma. When this involves the cerebral vessels, even a small embolic fragment may result in catastrophy.

For the past two years it has been our policy when operating upon smaller arteries, such as superficial femoral, profunda femoris, popliteal, or internal carotid, to avoid the use of a distal occluding clamp when application of a clamp

First Page Preview View Large
First page PDF preview
First page PDF preview
×